Accumulated- and distributed-reinforcer arrangements in the treatment of challenging mealtime behavior

dc.contributor.authorChen, Elaine
dc.contributor.authorBorrero, Carrie S. W.
dc.contributor.authorFrank-Crawford, Michelle A.
dc.contributor.authorBorrero, John
dc.date.accessioned2023-06-06T18:33:20Z
dc.date.available2023-06-06T18:33:20Z
dc.date.issued2022-07-10
dc.description.abstractTreatment for inappropriate mealtime behavior often includes extinction and differential reinforcement of alternative behavior (DRA) in a distributed arrangement in which delivery of brief reinforcer access immediately follows each appropriate mealtime response. Alternatively, DRA may be arranged using accumulated reinforcement wherein delivery of longer, continuous access to reinforcers follows the consumption of multiple consecutive bites. Research has suggested that individuals prefer and perform better under accumulated arrangements in academic settings; however, no research to date has evaluated the efficacy of accumulated arrangements with children with feeding disorders. We compared preference for and efficacy of distributed and accumulated (with and without tokens) reinforcement with nonremoval of the spoon. All three treatments effectively reduced inappropriate mealtime behavior and increased acceptance for two participants and decreased packing and increased mouth clean for one participant. Two participants preferred distributed reinforcement and one preferred accumulated reinforcement without tokens. Findings differ from some previous research, which demonstrated that participants favored accumulated arrangements in academic contexts.en_US
dc.description.urihttps://onlinelibrary.wiley.com/doi/abs/10.1002/bin.1899
dc.format.extent21 pagesen_US
dc.genrejournal articlesen_US
dc.genrepostprintsen_US
dc.identifierdoi:10.13016/m23flz-oqpt
dc.identifier.citationChen, E., Borrero, C. S. W., Frank-Crawford, M. A., & Borrero, J. C. (2022). Accumulated- and distributed-reinforcer arrangements in the treatment of challenging mealtime behavior. 37( 4), Behavioral Interventions, 1058– 1079. https://doi.org/10.1002/bin.1899en_US
dc.identifier.urihttps://doi.org/10.1002/bin.1899
dc.identifier.urihttp://hdl.handle.net/11603/28119
dc.language.isoen_USen_US
dc.publisherWileyen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Student Collection
dc.rightsThis is the peer reviewed version of the following article: Chen, E., Borrero, C. S. W., Frank-Crawford, M. A., & Borrero, J. C. (2022). Accumulated- and distributed-reinforcer arrangements in the treatment of challenging mealtime behavior. 37( 4), Behavioral Interventions, 1058– 1079. https://doi.org/10.1002/bin.1899, which has been published in final form at https://doi.org/10.1002/bin.1899. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.en_US
dc.rightsAccess to this item will begin on 07/10/2023.
dc.titleAccumulated- and distributed-reinforcer arrangements in the treatment of challenging mealtime behavioren_US
dc.typeTexten_US
dcterms.creatorhttps://orcid.org/0000-0003-0413-0892en_US

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